WEBVTT - Vaccine Hesitancy is Solvable 0:00:15.076 --> 0:00:24.676 Pushkin, this is solvable. I'm Jacob Weisberg. We have made 0:00:24.756 --> 0:00:30.796 a valiant effort to make sure that black scientists have 0:00:30.996 --> 0:00:35.356 been at the table of the vaccine discovery and development, 0:00:35.756 --> 0:00:40.596 the valuation of the data in the clinical trials, and 0:00:40.636 --> 0:00:45.236 then the decisions at the FDA CDC of the allocation. 0:00:46.156 --> 0:00:50.156 Even with such concerted efforts and successes with bringing black 0:00:50.276 --> 0:00:53.516 scientists to the table, many people of color in the 0:00:53.636 --> 0:00:57.716 United States still express hesitation about receiving the new COVID 0:00:57.836 --> 0:01:02.756 nineteen vaccine. Americans of color serve in essential jobs across society, 0:01:03.116 --> 0:01:06.236 which makes it even more urgent that they be vaccinated. 0:01:06.596 --> 0:01:09.436 They were to people who check people into the emergency room. 0:01:09.716 --> 0:01:12.396 They are the orderly, they are the ones in flood service, 0:01:12.436 --> 0:01:15.476 they are the ones in transport, so you know that 0:01:15.516 --> 0:01:19.556 they were at increased risk or being infected. According to 0:01:19.596 --> 0:01:23.116 the CDC, black Americans are one point four times as 0:01:23.196 --> 0:01:27.236 likely to be infected with COVID nineteen. Indigenous, Black and 0:01:27.356 --> 0:01:30.636 Latin X Americans are at least two point seven times 0:01:30.636 --> 0:01:34.116 more likely to die than their white neighbors, according to 0:01:34.156 --> 0:01:38.756 American Public Media Research Lab. As COVID nineteen vaccines roll 0:01:38.796 --> 0:01:42.996 out across the country. The medical establishment faces this problem. 0:01:43.036 --> 0:01:46.276 How do you re establish trust or establish it in 0:01:46.276 --> 0:01:51.356 the first place. If there's ever a time to understand 0:01:51.556 --> 0:01:56.996 history and to understand how that has influence people's ability 0:01:56.996 --> 0:02:00.996 to trust the health system, the time is now. Doctor 0:02:01.076 --> 0:02:04.116 Valerie Montgomery Rice is the president and dean of the 0:02:04.156 --> 0:02:07.516 Morehouse School of Medicine. She was among the first people 0:02:07.516 --> 0:02:10.716 to be vaccinated in the United States. Her shot with 0:02:10.796 --> 0:02:15.276 broadcast live on CNN. She thinks this is a problem 0:02:15.356 --> 0:02:18.996 we can solve. I believe that we can move from 0:02:19.516 --> 0:02:28.276 vaccine hesitancy to vaccine certainty. Doctor Montgomery Rice, I'm so 0:02:28.316 --> 0:02:30.476 happy to be able to talk to you about this today. 0:02:30.796 --> 0:02:32.756 You know, I think a lot of us have been 0:02:33.276 --> 0:02:37.436 watching the catastrophe within the catastrophe or one of them, 0:02:37.476 --> 0:02:42.676 which is that COVID nineteen has disproportionately infected people of color, 0:02:42.796 --> 0:02:46.796 and I think even more disproportionately killed people of color. 0:02:47.156 --> 0:02:50.916 You know, one would hope in that situation that African 0:02:50.956 --> 0:02:53.516 Americans would be at the front of the line to 0:02:53.556 --> 0:02:56.676 get their vaccines. And I wonder if you can talk 0:02:56.676 --> 0:03:01.396 for a minute about where we are and why African 0:03:01.436 --> 0:03:04.436 Americans are in some cases more reluctant than others to 0:03:04.516 --> 0:03:09.036 get the vaccine. We know that this virus has disproportionately 0:03:09.116 --> 0:03:13.196 impacted people of color, not just African Americans, but Latin 0:03:13.436 --> 0:03:17.116 X and questions were raised early on, was there something 0:03:17.236 --> 0:03:21.196 unique about race or ethnicity that put people at greater risk. 0:03:21.476 --> 0:03:24.476 What we really recognize when you looked at the science 0:03:25.236 --> 0:03:28.436 that this virus did not discriminate that if you were 0:03:28.476 --> 0:03:31.676 in proximity with someone who was infected, you had a 0:03:31.756 --> 0:03:35.996 higher chance of being infected. Latin X and African American 0:03:36.076 --> 0:03:39.156 were the people who were the essential workers because they 0:03:39.196 --> 0:03:41.876 are the people who check people into the emergency room, 0:03:42.116 --> 0:03:44.796 they are the orderly, they're the ones in food service, 0:03:44.836 --> 0:03:48.316 they're the ones in transport driving your buses, who were 0:03:48.316 --> 0:03:51.156 picking up your trash, who were working in restaurants, etc. 0:03:51.876 --> 0:03:54.676 So you know that they were at increased risk of 0:03:54.836 --> 0:03:58.476 being infected. So it was not that this virus was 0:03:58.556 --> 0:04:02.956 discriminatory per se against people because of their race ethnicity. 0:04:03.236 --> 0:04:06.676 It's the social determinants they have led to this. Now, 0:04:06.836 --> 0:04:09.756 having said all of that, we know that we see 0:04:09.796 --> 0:04:14.036 a disproportion number of health disparities because of the social 0:04:14.076 --> 0:04:18.436 constructs that have not allowed for greater access to care 0:04:18.836 --> 0:04:22.196 and then access to the greatest level of quality of care. 0:04:22.716 --> 0:04:27.156 And so we have made a valiant effort in the 0:04:27.436 --> 0:04:33.316 science community to make sure that black scientists have been 0:04:33.356 --> 0:04:39.276 at the table of the vaccine discovery and development, the 0:04:39.596 --> 0:04:44.516 valuation of the data in the clinical trials, and then 0:04:44.836 --> 0:04:49.596 the decisions at the FDA and CDC of the allocation. Yeah, 0:04:49.676 --> 0:04:53.276 and of course people saw you getting your first dose 0:04:53.316 --> 0:04:56.476 of the vaccine on CNN, and one of the other 0:04:56.516 --> 0:05:00.396 first recipients of the Visor vaccine was an African American 0:05:00.476 --> 0:05:04.156 nurse in Long Island. So they've clearly been efforts, which 0:05:04.196 --> 0:05:08.996 you've been in the center of, to have prominent trust 0:05:09.716 --> 0:05:14.876 African American voices publicly getting vaccinated. If someone sees you 0:05:14.916 --> 0:05:19.036 getting vaccinated on CNN, sure that builds trust the institution. 0:05:19.156 --> 0:05:21.956 You represent all the things you're talking about. But at 0:05:21.956 --> 0:05:26.116 the same time, what my friends are saying, or what 0:05:26.196 --> 0:05:28.276 my neighbors are saying, or what I feel like the 0:05:28.316 --> 0:05:31.316 people I know are going to do, it's going to 0:05:31.436 --> 0:05:35.036 have such a big impact. How do you create influence 0:05:35.076 --> 0:05:38.076 at that level around vaccines? So you know, I take 0:05:38.116 --> 0:05:42.516 a lot of phone calls, I answer a lot of emails, 0:05:43.196 --> 0:05:46.956 and I tell people to truth always. So when we 0:05:46.996 --> 0:05:51.116 didn't know stuff early on, Jacob, I told them we 0:05:51.156 --> 0:05:53.996 didn't know yet, we needed to give time for the 0:05:54.116 --> 0:05:58.236 studies to be completed with the vaccine trial. And then 0:05:58.356 --> 0:06:02.716 as we started to know more, we then shared more. 0:06:03.196 --> 0:06:05.436 And so what I've tried to do is to be 0:06:05.796 --> 0:06:10.676 transparent about what we don't know and open even more 0:06:10.716 --> 0:06:13.796 open about what we do know. And at no point 0:06:13.916 --> 0:06:18.516 have I asked people to deviate from those healthcare practices though, 0:06:18.716 --> 0:06:23.316 of the three ws washing your hands, wearing your masks, 0:06:23.676 --> 0:06:27.276 and watching your distance, and recently I added a P 0:06:27.676 --> 0:06:30.396 on that, so it's three ws N a P now 0:06:30.956 --> 0:06:36.076 being patient for when is your turn to receive a vaccine? 0:06:36.516 --> 0:06:39.756 And so I think it's really really critical that we, 0:06:39.916 --> 0:06:44.596 as healthcare providers and as scientists let people know that 0:06:44.636 --> 0:06:48.316 this is evolving. That's what I've tried to do with 0:06:48.396 --> 0:06:51.796 my peers is to make sure that they understand that 0:06:51.876 --> 0:06:56.116 we don't know everything, but what we do know, be 0:06:56.276 --> 0:07:00.396 confident in that we have enough smart people to help 0:07:00.476 --> 0:07:03.036 figure out most of these things. I mean, when I 0:07:03.116 --> 0:07:07.436 hear about white people who don't want to take the vaccine, 0:07:07.756 --> 0:07:11.396 I just have a gut reaction and that's irrational, that's 0:07:11.476 --> 0:07:15.676 conspiracy thinking they're anti vaxxers. I have no sympathy whatsoever. 0:07:16.156 --> 0:07:18.996 When I hear about African Americans who are reluctant to 0:07:18.996 --> 0:07:21.876 take the vaccine, I think, well, there's a whole history there, 0:07:22.156 --> 0:07:24.836 very specific things that happened in the past. Am I 0:07:24.996 --> 0:07:30.316 right to draw that distinction? Or is anti vaccine anti vaccine? 0:07:30.356 --> 0:07:32.036 I mean, are they versions of the same thing or 0:07:32.036 --> 0:07:34.676 are they different things? They are not versions of the 0:07:34.716 --> 0:07:38.516 same thing. So, you know, Jacob, if there's ever a 0:07:38.596 --> 0:07:43.916 time to understand history and to understand how that has 0:07:44.036 --> 0:07:49.076 influenced people's ability to trust a health system, the time 0:07:49.236 --> 0:07:54.116 is now. There is a book called Medical Apartheid by 0:07:54.196 --> 0:07:59.596 Harriet Washington. It is a very difficult read, but it 0:07:59.716 --> 0:08:04.396 is a book that gives you a historical perspective on 0:08:04.516 --> 0:08:08.756 what has happened from the time four hundred years ago 0:08:08.836 --> 0:08:11.276 when we were brought to this country, when blacks were 0:08:11.276 --> 0:08:14.996 brought to this country against their will, and how they 0:08:14.996 --> 0:08:21.276 were used throughout their bodies and their minds for medical experimentation, 0:08:22.676 --> 0:08:26.036 whether it was with the person who was named the 0:08:26.236 --> 0:08:32.156 grandfather of gannacology, Maryon Sims, how he used black women 0:08:32.756 --> 0:08:38.396 slave women against their will to perfect surgical procedure and 0:08:38.756 --> 0:08:42.556 they were not given anesthesia, etc. Or whether or not 0:08:42.676 --> 0:08:46.916 you're looking at how he addressed tetani in children and 0:08:46.956 --> 0:08:51.756 how he used bondage to close their sutures and their 0:08:52.076 --> 0:08:56.036 and their head that are usually closed on their own 0:08:56.156 --> 0:09:00.356 over time, or you get to more modern day times 0:09:00.356 --> 0:09:04.356 when you're talking about Tuskegee the actually we're not injected 0:09:04.396 --> 0:09:07.716 per se with syphilis. They developed syphilis, but they were 0:09:07.756 --> 0:09:13.676 not given treatment and it was intentional, right, And there 0:09:13.716 --> 0:09:17.716 are other instances. You can think about the Mississippi appendectomies, 0:09:17.756 --> 0:09:22.196 and we've had throughout the South challenges and history of 0:09:22.276 --> 0:09:26.916 women having hysterectomies performed on them without their knowledge or consent. 0:09:28.156 --> 0:09:34.516 And so while I would never be dismissive of people's concerns, 0:09:34.876 --> 0:09:37.916 what I've tried to do is address their fears. And 0:09:38.036 --> 0:09:40.276 the one way that I know to address a Jacob 0:09:41.036 --> 0:09:46.236 is to acknowledge what has happened in the past and 0:09:46.476 --> 0:09:50.036 talk about how we've learned from that for the future. 0:09:50.356 --> 0:09:52.876 And one of the things that we learned was that 0:09:52.916 --> 0:09:58.636 we needed to have trusted voices in the room, trusted 0:09:58.796 --> 0:10:04.596 voices at the table of decision when clinic core experiments 0:10:04.796 --> 0:10:09.236 were being designed, we needed to understand the science of 0:10:09.276 --> 0:10:14.196 how the disease, whatever it is, impacts one race or 0:10:14.236 --> 0:10:17.796 ethnicity or gender over another, and to make sure that 0:10:17.796 --> 0:10:22.796 those persons were represented. And then we needed to understand 0:10:23.436 --> 0:10:30.316 the social constructs in our society that prevent people from 0:10:30.356 --> 0:10:35.676 having the greatest level of access or inclusion. And we 0:10:35.756 --> 0:10:41.916 are doing that with this vaccine development and roll out, 0:10:42.836 --> 0:10:46.116 and hopefully we're going to move us from this vaccine 0:10:46.196 --> 0:10:50.636 hesitancy to vaccine acceptance. Yeah. I wonder if you can 0:10:50.676 --> 0:10:53.916 tell me a little more about your own story and 0:10:53.956 --> 0:10:59.276 how your family played into your approach to healthcare and science. 0:10:59.276 --> 0:11:02.676 I mean, so much of this comes with you. How 0:11:02.716 --> 0:11:05.156 we what we hear growing up, of course, And I 0:11:05.316 --> 0:11:10.476 just I wonder how you became so passionate about healthcare 0:11:10.596 --> 0:11:14.476 and the black community in particular. Well, you know, I 0:11:14.596 --> 0:11:17.356 was raised in a single parent household. My parents divorced 0:11:17.356 --> 0:11:22.196 when I was six, three sisters, and my mother raised us. 0:11:22.356 --> 0:11:26.396 She started to work eventually in a paper factory. She 0:11:26.516 --> 0:11:29.356 worked there twenty five years, seventy three, three to eleven, 0:11:29.396 --> 0:11:33.476 eleven to seven, and became the highest ranking woman in 0:11:33.556 --> 0:11:37.836 a paper factory in making Georgia. What I saw there 0:11:38.116 --> 0:11:41.676 was resilience. I saw grit. I saw a woman who 0:11:41.716 --> 0:11:45.516 came home every morning or evening a night when she 0:11:45.596 --> 0:11:48.196 was finishing. And she only had a high school diploma, 0:11:48.276 --> 0:11:50.876 but I believe she had a PhD. In my mind. 0:11:51.756 --> 0:11:55.956 She would whisper things in our ears, Jacob, all things 0:11:55.956 --> 0:11:59.996 are possible. You can do anything. And when you're growing up, 0:12:00.116 --> 0:12:02.476 it's a nuisance because somebody's in your ear while you're 0:12:02.476 --> 0:12:05.396 trying to sleep, right, it's a nuisance. And so she 0:12:05.596 --> 0:12:09.436 was trying to instill to us what was possible. And 0:12:09.516 --> 0:12:11.596 I went to Georgia Tech based on the fact that 0:12:11.636 --> 0:12:15.436 my science teacher said, you're good in math and science 0:12:15.676 --> 0:12:19.596 and they're looking for black kids to be engineers. And 0:12:19.676 --> 0:12:21.796 I got a scholarship to go to Georgia Tech. Really 0:12:21.796 --> 0:12:25.196 didn't hardly even apply to other places, and I coopered 0:12:25.236 --> 0:12:28.196 Proctant Gams, the chemical engineer and major, and they offered 0:12:28.236 --> 0:12:32.756 me a job. And that scared me to death because 0:12:32.836 --> 0:12:35.596 I actually didn't want to be an engineer. And I 0:12:35.756 --> 0:12:39.756 looked up in an encyclopedia math, science, and people, and 0:12:39.796 --> 0:12:42.156 one of the things that had come there is medicine, 0:12:43.476 --> 0:12:47.596 and I went over to Spellman College because Georgia Tech 0:12:47.636 --> 0:12:49.916 did not have a pre mad major at that time. 0:12:50.796 --> 0:12:53.516 Told my advisor, I think I want to go to 0:12:53.556 --> 0:12:55.756 medical school. And she said, you don't seem to know 0:12:55.796 --> 0:12:58.636 a lot about going to medical school. And I said 0:12:58.676 --> 0:13:01.236 to her, I didn't know a lot about being an engineer, 0:13:01.516 --> 0:13:06.156 and that's working out okay. And so I really believed 0:13:06.396 --> 0:13:09.076 that all things were possible. So the rest is here. 0:13:09.436 --> 0:13:11.996 I decided to leave Georgia Tech with a chemistry degree. 0:13:12.276 --> 0:13:15.396 I went to Harvard Medical School and now I've had 0:13:15.436 --> 0:13:18.796 a daughter to graduate from Harvard Medical School. And so 0:13:19.916 --> 0:13:23.436 when you look at this history, I think it was 0:13:23.516 --> 0:13:30.356 built on resilience and grid. So the presence of African 0:13:30.356 --> 0:13:35.996 American medical researchers and medical practitioners at every level is 0:13:36.036 --> 0:13:41.196 crucial to establishing that greater trust. But we have a 0:13:41.276 --> 0:13:44.716 real lag there, don't we in medical school? And you know, 0:13:44.876 --> 0:13:49.516 the numbers of African Americans enrolled is going up, but 0:13:49.556 --> 0:13:52.156 it's going up slowly. And I don't even know what 0:13:52.236 --> 0:13:55.916 the statistics look like in medical research and in the 0:13:55.956 --> 0:13:59.316 development of the vaccine. But what are you able to 0:13:59.356 --> 0:14:02.916 point you there? So if you look at the Association 0:14:03.116 --> 0:14:06.796 of American Medical College is what we call the Double AMC. 0:14:07.516 --> 0:14:12.196 Black physicians account are only five percent of all physicians 0:14:12.236 --> 0:14:16.076 in this country, even though we comprise thirteen percent of 0:14:16.116 --> 0:14:21.276 the population. You will see that black females outpaced black 0:14:21.316 --> 0:14:25.196 males at a ratio of about two point five to one, 0:14:25.356 --> 0:14:29.196 with there only being six hundred and nineteen black males 0:14:29.276 --> 0:14:34.796 who enter medical school in twenty nineteen. Now understand what 0:14:34.876 --> 0:14:39.076 that does in a classroom setting. Imagine I'm in a 0:14:39.116 --> 0:14:42.956 classroom with one hundred, one hundred and twenty five students 0:14:42.996 --> 0:14:47.076 and there are there's one black male, and let's say 0:14:47.116 --> 0:14:50.836 that there are nine black females. Lots of medical school 0:14:50.876 --> 0:14:54.956 classes now occur in small groups, and let's just say 0:14:54.996 --> 0:15:00.116 that we're talking about gun violence, and so these medical 0:15:00.196 --> 0:15:05.756 students are forming an opinion about gun violence. And a 0:15:05.796 --> 0:15:09.516 lot of that opinion doesn't just come from the litera tour. 0:15:09.836 --> 0:15:13.396 It comes from the conversations that are had in those 0:15:13.436 --> 0:15:16.276 small groups. Now, you may say, well, how does that 0:15:16.356 --> 0:15:21.316 impact my care delivery? Well, let's say I'm now on 0:15:21.356 --> 0:15:28.116 the trauma team at Grady Hospital and every person that 0:15:28.196 --> 0:15:32.956 comes in is a black male with a gunshot woman 0:15:34.356 --> 0:15:37.276 Not only am I bias from the fact that in 0:15:37.316 --> 0:15:41.476 my small classroom setting, I haven't had the opportunity right 0:15:41.996 --> 0:15:46.316 to have conversation with a black male student who may 0:15:46.316 --> 0:15:49.236 have never been involved with gun violence, but it is 0:15:49.276 --> 0:15:52.596 also affirmed for me when I get into the clinical setting. 0:15:53.756 --> 0:16:00.596 That is why diversity by race, ethnicity, gender, socioeconomic status, religion, 0:16:01.836 --> 0:16:05.836 sexual orientation is so critical to how we educate and 0:16:05.876 --> 0:16:10.836 train and how we remove ourselves. I'm a biases and 0:16:10.876 --> 0:16:14.196 are able to be more inclusive in our thoughts and 0:16:14.276 --> 0:16:18.396 our care delivery. Yeah, I have seen some studies that 0:16:18.836 --> 0:16:21.156 maybe as high as a third or thirty five percent 0:16:21.196 --> 0:16:24.916 of African Americans say they don't intend to get vaccinated 0:16:25.076 --> 0:16:29.116 or don't trust the vaccine. When people say that, what 0:16:29.236 --> 0:16:31.836 are they afraid of? Specific? When you say why won't 0:16:31.876 --> 0:16:34.396 you get the vaccine? Do you what do you hear about? 0:16:34.796 --> 0:16:37.476 Most of the time, really, Jacob, they go back to 0:16:37.516 --> 0:16:41.556 the trust because they say, you know, it's hard for 0:16:41.676 --> 0:16:46.516 me now sometimes to get access to the highest quality 0:16:46.596 --> 0:16:50.036 of care. So why would I believe that somebody is 0:16:50.116 --> 0:16:53.756 really ready to give me access to a vaccine that's 0:16:53.756 --> 0:16:57.436 supposed to be great? And so it is about building 0:16:57.436 --> 0:17:04.116 that trust. We did a vaccination program with civil rights 0:17:04.276 --> 0:17:09.916 leaders seventy five and above and Bassada, Andrew Young Herey, 0:17:09.916 --> 0:17:14.836 Hank Thomas Herey, Aaron and his wife Billy Aaron, doctor 0:17:14.916 --> 0:17:18.276 Lewis Sullivan, previous Secretary of HHS, previous president of more 0:17:18.316 --> 0:17:24.276 House School of Medicine. Those people were around when Tuskegee occurred. 0:17:24.716 --> 0:17:29.116 Those people actually lived through that history. Yet they were 0:17:29.156 --> 0:17:33.756 willing to step up and get vaccinated because they believe 0:17:33.796 --> 0:17:37.676 in science and because it was linked to more House 0:17:37.676 --> 0:17:43.276 School of Medicine, that trusted entity. Yeah, when you project forward, 0:17:43.476 --> 0:17:46.916 say a year from now, when with hopefully you know, 0:17:47.436 --> 0:17:53.076 vast majority of the population vaccinated and the pandemic if 0:17:53.116 --> 0:17:56.996 it still exists, is a very manageable kind of problem. 0:17:57.356 --> 0:18:00.076 Do you think we'll look back and say this, the 0:18:00.196 --> 0:18:03.756 vaccine was a success story in relation to people of 0:18:03.756 --> 0:18:07.756 color and to African Americans in the sense that there 0:18:07.876 --> 0:18:11.716 wasn't a lag in when they got vaccinated the proportion 0:18:11.796 --> 0:18:14.716 in which they got vaccinated. Do you think we're gonna 0:18:14.796 --> 0:18:19.876 eliminate that disparity, just as we utterly failed to eliminate 0:18:19.996 --> 0:18:23.996 the disparity the historic disparity reflected in who got the 0:18:24.076 --> 0:18:27.596 disease and who suffered most from it. So I look 0:18:27.636 --> 0:18:30.356 at this in two ways, Jacob. What I believe we 0:18:30.396 --> 0:18:35.156 will do is we will say the vaccine did what 0:18:35.196 --> 0:18:39.476 we expected it to do. Along with the other healthcare 0:18:39.596 --> 0:18:44.796 preventaged strategies of the three WS, the vaccine helped us 0:18:44.916 --> 0:18:48.516 to mitigate the disease because first you're going to see 0:18:48.836 --> 0:18:53.876 decrease in death, then decrease in hospitalizations, but not necessarily 0:18:54.356 --> 0:18:58.916 rapid decrease in cases. Now, what the what I want 0:18:58.916 --> 0:19:01.156 to look back and say the virus did it though, 0:19:02.396 --> 0:19:08.236 was it showed us the chronicity of health disparities and 0:19:08.356 --> 0:19:13.316 health in eques in this country. And as my daughter 0:19:13.316 --> 0:19:18.156 would say, it woke all of us up to how 0:19:18.436 --> 0:19:23.396 we should create interventions that are sustainable such that we 0:19:23.596 --> 0:19:27.956 never are here again. So that when we think about 0:19:28.596 --> 0:19:32.636 innovations that we will develop in cancer and diabetes and 0:19:32.756 --> 0:19:38.356 heart disease, that we will ensure the appropriate dissemination and 0:19:38.436 --> 0:19:43.796 allocation of that intervention and discovery to communities that have 0:19:43.836 --> 0:19:49.236 been left behind, ensure that people who are disproportionate impacted 0:19:49.596 --> 0:19:54.556 have access to those interventions. That we will understand the 0:19:54.636 --> 0:19:58.916 impact of social determinants that you can't be talking to 0:19:59.036 --> 0:20:02.836 people about, oh, you should exercise three times a week 0:20:03.316 --> 0:20:06.676 and go get this medication field if they're not in 0:20:06.716 --> 0:20:10.116 a safe neighborhood or if they don't have a job, 0:20:10.556 --> 0:20:15.756 so that we will understand how social determinants influence access 0:20:15.836 --> 0:20:20.356 to care and quality of care. Doctor Montgomery Rice. We 0:20:20.356 --> 0:20:23.956 always like to wrap up unsolvable by talking about things 0:20:24.076 --> 0:20:26.996 listeners can do, and in this case, I think the 0:20:27.076 --> 0:20:29.796 question is what can people do to help build trust 0:20:29.876 --> 0:20:35.396 in the vaccine. I think that people should do due 0:20:35.476 --> 0:20:41.716 diligence and listening and finding trusted advisors to help them 0:20:41.836 --> 0:20:45.516 understand the signence. Now I'm not saying they need to 0:20:45.596 --> 0:20:49.436 understand how a vaccine works, because we all take many 0:20:49.436 --> 0:20:52.236 of us take the flu vaccine right and we don't 0:20:52.276 --> 0:20:55.556 necessarily know how the flu vaccine works. But what we 0:20:55.636 --> 0:20:58.876 have done is that we have found a trusted advisor, 0:20:59.076 --> 0:21:03.356 usually in our healthcare provider, that helps us to feel 0:21:03.356 --> 0:21:08.076 more comfortable we're taking that vaccine. So I want to 0:21:08.116 --> 0:21:13.676 continue to stress to people to go to trusted sources 0:21:13.756 --> 0:21:17.996 so that they can understand the benefits of the vaccine. 0:21:18.676 --> 0:21:20.756 The second thing that I would ask them to do 0:21:21.396 --> 0:21:26.196 is to continue the three ws, washing their hands, watching 0:21:26.236 --> 0:21:29.796 their distance, and wearing their masks. Because if you do 0:21:29.876 --> 0:21:33.916 that and then you are patient, your time for the 0:21:34.076 --> 0:21:39.356 vaccine will come. But in the meantime you will decrease 0:21:39.396 --> 0:21:44.476 your chance of being a case, a hospitalization of death. 0:21:44.996 --> 0:21:48.116 And then the third thing that I will say is 0:21:48.796 --> 0:21:52.956 that we need to recognize that we have the power 0:21:53.076 --> 0:21:59.116 in this country to do most anything. Recognize who your 0:21:59.156 --> 0:22:05.956 circle of influence is, and continue to have open conversations 0:22:05.996 --> 0:22:10.036 about what got us here, but left not let the 0:22:10.156 --> 0:22:16.356 past holders back from realize in our bright future. Doctor Mortcommress, 0:22:16.396 --> 0:22:18.236 I gotta tell you made me feel really good watching 0:22:18.276 --> 0:22:21.036 you get your shot out to see you're afraid of needles, 0:22:21.036 --> 0:22:23.196 just like I am. And I saw you doing the 0:22:23.236 --> 0:22:25.956 same thing I do, which is look away from the needle. 0:22:26.316 --> 0:22:30.196 About the dean of a medical school and a doctor 0:22:30.236 --> 0:22:33.716 has the same phobia, maybe it's pretty normal. And then 0:22:33.836 --> 0:22:37.516 let me just tell you it hurt way less than 0:22:37.556 --> 0:22:40.636 the flu vaccine ever heard. So it was it was 0:22:40.676 --> 0:22:43.116 like nothing. I was like, oh my god, don't even 0:22:43.156 --> 0:22:45.316 like to watch a needle going into someone else's arm. 0:22:45.356 --> 0:22:46.996 I kind of just closed my eyes. Well, I don't 0:22:47.036 --> 0:22:49.836 mind putting the needle in somebody else bothered it just 0:22:49.956 --> 0:22:52.076 I just don't want it in my arm. Yeah, well, 0:22:52.076 --> 0:22:53.956 I wish you were here to give me a vaccine, 0:22:53.956 --> 0:22:55.636 but I think I'm gonna have to wait my turn 0:22:55.836 --> 0:22:58.396 right well, and certainly rather have my vaccine at more 0:22:58.436 --> 0:23:02.076 house medical college than at a pharmacy. Is there any 0:23:02.636 --> 0:23:05.476 way to influence where we get these vaccines, you know? 0:23:05.756 --> 0:23:08.836 So we have been in discussions with our Department of 0:23:08.876 --> 0:23:11.836 Public Health, and I know other leaders around the country 0:23:12.716 --> 0:23:15.156 who run medical schools like I do, have been in 0:23:15.796 --> 0:23:19.596 conversations with their Department of Public Health, so talking about 0:23:19.636 --> 0:23:23.156 how do we make it more readily available to the public. 0:23:23.596 --> 0:23:26.116 And one of the things that we're planning to do 0:23:26.236 --> 0:23:30.956 here is to have these vaccine vaccinations in our parking 0:23:30.996 --> 0:23:35.436 lot drive through vaccinations every Saturday for the month of January. 0:23:35.716 --> 0:23:38.876 We're also going to use our mobile research van to 0:23:39.276 --> 0:23:43.516 set up in many of the rural areas in the 0:23:43.556 --> 0:23:46.556 state to be able to offer vaccinations. So we are 0:23:46.756 --> 0:23:53.436 encouraging the departments of public Health to partner with grassroots organizations, 0:23:53.716 --> 0:23:57.716 fairly qualified health clinics to really be able to get 0:23:57.756 --> 0:24:01.796 these vaccinations to the public versus the public having to 0:24:01.876 --> 0:24:06.596 come to an establish hospital setting where people are overburdened 0:24:06.636 --> 0:24:09.476 right now with COVID cases, so that they can really 0:24:09.516 --> 0:24:12.236 get their vaccines. But I also would say to your 0:24:12.236 --> 0:24:15.756 listeners there are vaccine trials still going on, so right 0:24:15.796 --> 0:24:18.196 now I'm more House School of Medicine and at several 0:24:18.196 --> 0:24:21.396 other places throughout the country, the novavax vaccine trial that 0:24:21.476 --> 0:24:24.116 is going on, So look that up. You can go 0:24:24.116 --> 0:24:27.276 and find it on an NIH site. And rolling a trial, 0:24:27.316 --> 0:24:29.076 you got a fifty percent chance you're going to get 0:24:29.156 --> 0:24:32.436 the vaccine versus getting to placebo. And so I would 0:24:32.436 --> 0:24:35.236 say try it. Well. Thank you so much for joining 0:24:35.316 --> 0:24:38.476 us Unsolvable, and thank you doctor Montgomery Rice for your 0:24:38.596 --> 0:24:44.796 leadership in helping America get vaccinated to end this pandemic 0:24:44.876 --> 0:24:47.116 as as soon as we can. Oh, thank you, I 0:24:47.116 --> 0:24:51.556 appreciate it. Doctor Valerie Montgomery Rice is the President and 0:24:51.716 --> 0:24:54.476 Dean of the more House School of Medicine. Be sure 0:24:54.516 --> 0:24:56.476 to check out our show notes for links to the 0:24:56.516 --> 0:24:59.956 facts about COVID nineteen vaccines that you can share with 0:25:00.076 --> 0:25:03.636 friends and family. Next week, Unsolvable, we'll talk about how 0:25:03.676 --> 0:25:07.476 to make and break habits. It's a season of resolutions, 0:25:07.636 --> 0:25:10.076 but really setting yourself up to make changes in your 0:25:10.156 --> 0:25:13.636 life and behavior can happen anytime of year. Please join 0:25:13.796 --> 0:25:17.276 us for our conversation about achieving your goals, and here's 0:25:17.316 --> 0:25:22.076 a preview. It starts with friction Solvable. Senior producer is 0:25:22.156 --> 0:25:26.356 Jocelyn Frank, Booking by Lisa Dunn. Our managing producer is 0:25:26.436 --> 0:25:30.756 Catherine Girardo and Mia Lobell Is the executive producer of pushkin. 0:25:31.276 --> 0:25:32.476 I'm Jacob Weisberg.